3 of 5 stars overall. Rockwall Nursing Care Center has low health inspection and staffing ratings (2 of 5 each), high quality measures (5 of 5), nurse staffing below the federal benchmark (3.39 vs 4.1 hours/resident/day), and $40,742 in fines in the last 24 months with a recent federal penalty.
Last inspection: March 13, 2026Penalties, last 24 months: $40,742recent federal penalty
Federal guidance recommends at least 4.1 nursing hours per resident each day. This facility reports 3.386.
Staffing detail
Registered nurses
0.36
Licensed practical nurses
1.12
Nurse aides
1.90
Weekend nursing
2.92
Hours per resident per day.
Total staff turnover: 99%
Registered nurse turnover: 100%
Resident outcomes
How often residents experience these outcomes, with the direction over the past year.
Long-stay residents on antipsychotic medication
14.1%Worsening
Residents with a fall causing major injury
6%Improving
Residents with pressure ulcers (bedsores)
3.1%Improving
Residents with a urinary tract infection
0.3%Steady
Residents who lost too much weight
1.8%Improving
Residents who were physically restrained
0%Steady
Residents needing more help with daily activities
11.8%Worsening
Residents whose ability to walk got worse
9.9%Worsening
Show all measures
Long-stay residents on antianxiety or sleep medication
18.9%Improving
Short-stay residents newly given an antipsychotic
4.8%Steady
Residents with a long-term catheter
0.2%Steady
Residents with new or worsening incontinence
18%Worsening
Residents with depressive symptoms
0.6%Improving
Long-stay residents given the seasonal flu vaccine
100%Steady
Long-stay residents given the pneumonia vaccine
100%Steady
Short-stay residents given the seasonal flu vaccine
100%Steady
Short-stay residents given the pneumonia vaccine
100%Steady
What the inspectors found
The nursing home failed to develop and carry out a complete care plan that met each resident’s needs with clear steps and timelines. Cited November 2023 — limited pattern, immediate jeopardy to residents.
View the original federal record
F-Tag 656 — 42 CFR §483.21(b)(1) — S/S: K
The nursing home failed to keep the area free of hazards and provide enough supervision to prevent accidents. Cited October 2025 — isolated incident, immediate jeopardy to residents.
View the original federal record
F-Tag 689 — 42 CFR §483.25(d) — S/S: J
The nursing home failed to provide and carry out an infection prevention and control program to help keep residents from getting or spreading infections. Cited September 2022 — widespread issue, potential for harm.
View the original federal record
F-Tag 880 — 42 CFR §483.80(a) — S/S: F
The home failed to make sure food was safely sourced, stored, prepared, and served according to professional standards. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 812 — 42 CFR §483.60(i) — S/S: E
The nursing home failed to keep its areas safe, easy to use, clean, and comfortable for residents, staff, and visitors. Cited January 2025 — limited pattern, potential for harm.
View the original federal record
F-Tag 921 — 42 CFR §483.90 — S/S: E
Recent history
STAFFING
Reported nurse staffing was below the federal recommendation of 4.1 hours per resident per day.
INSPECTION
Health inspection found 4 health deficiencies.
See what inspectors found
INSPECTION
Health inspection found 1 health deficiency.
See what inspectors found
INSPECTION
Health inspection found 2 health deficiencies.
See what inspectors found
PENALTY
A federal fine of $24,845 was recorded.
PENALTY
A federal fine of $15,897 was recorded.
Penalties & enforcement
On record with Medicare: 3 fines · $66,755 in total fines.
Federal fine
Oct 21, 2025
$24,845
Federal fine
Nov 1, 2024
$15,897
Federal fine
Nov 18, 2023
$26,013
Operator & ownership
Ownership
For profit - Corporation
Chain
Part of CREATIVE SOLUTIONS IN HEALTHCARE · 149 homes · 2.3 stars avg
Occupancy
86.6 residents on an average day (45% of 192 beds)
Resident voice
Resident council
Medicare history
Certified for 31 years
Things at a nursing home change — inspections, staffing, ownership, news.
Source: Centers for Medicare & Medicaid Services — public records, updated monthly. GoodStanding presents official records with plain-language summaries. Always visit a facility in person.